Keith Robert Crandall
Foot & Ankle Surgery
9209 Stonebank Xing
Tyler
, Texas 75703-0829
Keith Robert Crandall
Foot & Ankle Surgery
9209 Stonebank Xing
Tyler
, Texas 75703-0829
(888) 503-2519
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Keith Robert Crandall
- 1605 Stafford Dr
- Tyler, TX
- Zip : 75703-0839
- Fax : (888) 503-2519
- Phone : (903) 941-9247
Second Address
- Keith Robert Crandall
- 9209 Stonebank Xing
- Tyler, TX
- Zip : 75703-0829
- Fax : (888) 503-2519
- Phone : (903) 941-9247
Reviews
FAQs
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Is Keith Robert Crandall a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 2066 | TX |
| N | 213ES0103X | Foot & Ankle Surgery | BN6420119-057356 | OH |
National Provider Identifier
| NPI | 1104125780 |
|---|---|
| Provider Name | Keith Robert Crandall |
| First Address | Tyler, TX 75703-0839 |
| Second Address | Tyler, TX 75703-0829 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2011 |
| Last Update Date | 16/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.